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Periodontitis is a chronic, biofilm-modulated inflammatory disease characterized by microbial dysbiosis and a dysregulated host immune response, eventually resulting in the gradual breakdown of the periodontal attachment apparatus. While non-surgical periodontal therapy (NSPT) remains the first choice of treatment, its capability to completely resolve inflammation and pocketing in moderate disease severity may be limited, supporting the use of adjunctive antimicrobial or biologic interventions. Platelet-rich fibrin (PRF) and locally administered antibiotics, including minocycline, have individually shown clinical advantages; nonetheless, evidence assessing their combined utility remains unexplored. This split-mouth randomized controlled clinical trial (RCT) aims to compare the clinical efficacy of PRF combined with minocycline versus minocycline microspheres hydrochloride (Arestin) as adjuncts to NSPT in patients with Stage II or III, Grade A or B periodontitis.
Periodontitis is a chronic, biofilm-modulated inflammatory disease characterized by microbial dysbiosis and a dysregulated host immune response, eventually resulting in the gradual breakdown of the periodontal attachment apparatus. While non-surgical periodontal therapy (NSPT) remains the first choice of treatment, its capability to completely resolve inflammation and pocketing in moderate disease severity may be limited, supporting the use of adjunctive antimicrobial or biologic interventions. Platelet-rich fibrin (PRF) and locally administered antibiotics, including minocycline, have individually shown clinical advantages; nonetheless, evidence assessing their combined utility remains unexplored. This split-mouth randomized controlled clinical trial (RCT) aims to compare the clinical efficacy of PRF combined with minocycline versus minocycline microspheres hydrochloride (Arestin) as adjuncts to NSPT in patients with Stage II or III, Grade A or B periodontitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arestin Group | Active Comparator | Arestin placed interproximal sites after non-surgical therapy |
|
| PRF + M Group | Active Comparator | PRF with Minocycline placed interproximal sites after non-surgical therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arestin | Drug | Arestin evaluated as an adjunct to non-surgical therapy |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Attachment Loss | Clinical Attachment Loss was measured utilizing a periodontal probe at six sites per tooth. | 6 months |
| Probing Depths | Probing depths were recorded utilizing a periodontal probe at six sites per tooth. | 6 months |
| Gingival Recession | Gingival Recession was measured utilizing a periodontal probe at six sites per tooth. | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lakewood Ranch Dental | Sarasota | Florida | 34240 | United States |
Data will be shared upon request
Beginning 3 months and ending 3 years after the publication of the results
Data will be provided to researchers conducting a meta-analysis
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 21, 2026 | Feb 22, 2026 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Feb 21, 2026 | Feb 22, 2026 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C562573 | cyclopia sequence |
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| ID | Term |
|---|---|
| D008911 | Minocycline |
| D056690 | Prolactin-Releasing Hormone |
| ID | Term |
|---|---|
| D013754 | Tetracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
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This will be a split-mouth study in which patients undergoing non-surgical periodontal therapy will be included. One interproximal site will be assigned to receive adjunctive Arestin while another site will be randomly assigned to receive platelet-rich Fibrin mixed with minocycline.
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Participants do not know which site is receiving which treatment.
| PRF + M |
| Biological |
PRF with Minocycline evaluated as an adjunct to non-surgical therapy |
|
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
| D007028 | Hypothalamic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |